The Coder Long Term Care assists with coding, maintaining resident medical record and health information systems in accordance with current federal, and state guidelines the organization's established policies and procedures. Working under moderate supervision, this role is delegated the administrative authority, responsibility, and accountability necessary for carrying out assigned duties.
Essential Job Function:
- Helps maintain the confidentiality of all resident care information including protected health information.
- Supports developing a good working rapport with inter-department personnel within the organization to ensure medical records are properly maintained.
- Assists with maintaining confidentiality of user ID codes and passwords used to assess resident and facility information.
- Reports any known or suspected unauthorized attempt to access facilities information system.
- Helps ensure supplies are replenished in work areas as necessary, assignment areas are clean, and records are appropriately stored at the end of a business day.
- Assists in billing functions by developing face sheets upon admission, applying all diagnosis codes for billing and care planning, obtaining, tracking certification and recertification forms.
- Performs other duties as assigned.
Education:
- Required: High School Diploma or equivalent.
Experience:
Licensure/Certification/Listing:
- Required: One of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Coding Specialist (Physician-based) (CCS-P) certification.
